340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09219
330 BON AIR SHOPPING CTR
GREENBRAE, CA 94904

Pharmacy Comments

Approval Date

1/13/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

James McManus, Chief Financial Officer
(415) 925-2095

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/13/2017